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Some perspectives. You and I both do safety critical work. It’s great you’re taking responsibility for what happened. Ideally #humanfactors can design out as much error as possible/reduce its impact. But we’ll always be the final line of defence. It’s the 3 “H’s” 1/5 https://twitter.com/jackgkennedy/status/1307313160500772864
The 3 “H’s”: Habits, Humans & Humility. Habits - make everything as habitual as possible - following SOP’s, checklists, processes. And your own personal habits, mnemonics and “flows” that you run in your head. I have loads! I see many experienced folk catch errors this way. 2/5
The 3 “H’s”: Habits, Humans & Humility. Humans - use people around you, ask open questions, listen & understand, thank them for their inputs, create an inclusive empowered culture around you. They’ll catch things you don’t, if you let them. Especially as you gain expertise 3/5
The 3 “H’s”: Habits, Humans & Humility. Humility - experience we truly learn from (to create meaningful practice and habits) reduces our error rate - but the best still mess it up. Keep your humility. You can be the hero & the hazard. 4/5
Don’t be overwhelmed by your capacity for error. Practice, practice, practice. Focus on process not outcome. Keep learning. That’s what the best do. To quote Mark Stacey Obs Anaesthetist - when you reflect “your mind is like teflon for the good stuff and Velcro for the bad” 5/5
